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Abstract
Annual Review of Psychology
Vol. 57: 285-315 (Volume publication date January 2006)
(doi:10.1146/annurev.psych.57.102904.190044)
First published online as a Review in Advance on August 25, 2005
Enduring Effects for Cognitive Behavior Therapy in the Treatment of Depression and Anxiety

Steven D. Hollon, Michael O. Stewart, and Daniel Strunk
Department of Psychology, Vanderbilt University, Nashville, Tennessee 37203; email: , ,

Recent studies suggest that cognitive and behavioral interventions have enduring effects that reduce risk for subsequent symptom return following treatment termination. These enduring effects have been most clearly demonstrated with respect to depression and the anxiety disorders. It remains unclear whether these effects are a consequence of the amelioration of the causal processes that generate risk or the introduction of compensatory strategies that offset them and whether these effects reflect the mobilization of cognitive or other mechanisms. No such enduring effects have been observed for the psychoactive medications, which appear to be largely palliative in nature. Other psychosocial interventions remain largely untested, although claims that they produce lasting change have long been made. Whether such enduring effects extend to other disorders remains to be seen, but the capacity to reduce risk following treatment termination is one of the major benefits provided by the cognitive and behavioral interventions with respect to the treatment of depression and the anxiety disorders.

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Authors:
Steven D. Hollon
Michael O. Stewart
Daniel Strunk
Keywords:
enduring effects
prevention
relapse
recurrence
psychotherapy

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